Fire Safety Inspection Certificate
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Name of the Establishment
Business Account No(BIN/BAN)
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FSIC NUMBER
DATE OF ISSUANCE OF FSIC
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Month
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Day
Year
Date
FIRE SAFETY INSPECTION CERTIFICATE
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FOR BUSINESS PERMIT (NEW/RENEWAL)
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NAME OF ESTABLISHMENT
NAME OF OWNER / REPRESENTATIVE
COMPLETE ADDRESS
DESCRIPTION
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VALID UNTIL
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Month
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Day
Year
AMOUNT PAID
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OR NUMBER
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DATE OF PAYMENT
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Month
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Day
Year
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SUBMIT
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FOR CHIEF, FSES ONLY
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SINSP JHOSKAR A BONGALON
Date & Time
FOR CITY FIRE DIRECTOR ONLY
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SUPT JOHN F PINAGOD, MPSA, Ph. D
Date & Time
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